CARMEN AMANDA TEETS (NPI# 1629519905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629519905 |
| Entity Type | Individual |
| Full Name | CARMEN AMANDA TEETS |
| Practice Address |
4575 Se Dixie Hwy Stuart FL 34997-6826 |
| Mailing Address |
27389 Golf Course Loop Wesley Chapel FL 33544-3704 |
| Practice Telephone | 8558326727 |
| Mailing Telephone | 8558326727 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | FL | Behavioral Health & Social Service Providers |
| Street Address |
4575 SE DIXIE HWY |
| City | STUART |
| State | FL |
| Zip Code | 34997-6826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649488370 | Chris Garrett | Technician, Other | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2007-05-18 |
| 1558980888 | Shar'via Giles | Nurse's Aide | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2020-04-16 |
| 1881220929 | Denise Delancy | Technician, Other | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2020-03-20 |
| 1770121600 | Hortensia Collado Barrios | Technician, Other | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2019-12-10 |
| 1265075709 | Mariana Remedios Probance | Behavior Technician | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2019-10-28 |
| 1417508318 | Marvin Seaton | Behavior Technician | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2019-09-23 |
| 1902452311 | Caroline Todd | Technician, Other | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2019-08-12 |
| 1386298222 | Courtney Lynn Bailey | Behavior Technician | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2019-07-29 |
| 1790339679 | Marcia Vonceil Lopez | Behavior Technician | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2019-07-29 |
| 1942862495 | Stephanie M Lindsay | Behavioral Analyst | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2019-07-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765955 | Mari Glover | Behavior Technician | 4574 S.e. Dixie Hwy., Stuart, FL 34997 | 2020-09-21 |
| 1942812649 | Homeward Bound Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3836 Old Dixie Hwy, Stuart, FL 34997 | 2020-08-24 |
| 1790320943 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 5610 Se Grouper Ave, Stuart, FL 34997 | 2019-11-12 |
| 1083108567 | Rachel Providence Bosco | Nutritionist | 4729 Se Glenridge Trail, Stuart, FL 34997 | 2018-06-19 |
| 1801303896 | Cecilia Wanja Woller | Technician | 4575 Se Dixie Highway, Stuart, FL 34997 | 2017-12-29 |
| 1164941506 | Yvonne Mann | Technician, Other | 4574 Se Dixie Highway, Stuart, FL 34997 | 2017-09-18 |
| 1235653239 | Leticia Danielle Resendiz-moreno | Technician, Other | 4574 S.e Dixie Highway, Stuart, FL 34997 | 2017-08-01 |
| 1538680889 | Jessica Rose Geary | Behavior Technician | 4574 Old Dixie Hwy, Stuart, FL 34997 | 2017-06-27 |
| 1366972267 | Alexandra Melendez | Technician, Other | 4575 S.e. Dixie Hwy, Stuart, FL 34997 | 2017-06-14 |
| 1750813135 | Mauzie Mimose Adelson | Assistant Behavior Analyst | 4574 S.e. Dixie Hwy, Treasure Coast, Stuart, FL 34997 | 2017-04-03 |
| Find all providers in zip 34997 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750813135 | Mauzie Mimose Adelson | Assistant Behavior Analyst | 4574 S.e. Dixie Hwy, Treasure Coast, Stuart, FL 34997 | 2017-04-03 |
| 1871115501 | Elizabeth Vargas | Assistant Behavior Analyst | 7108 S Kanner Hwy, Stuart, FL 34997-7462 | 2020-05-15 |
| 1518500651 | Marybelle Cintron | Assistant Behavior Analyst | 7108 S Kanner Hwy, Stuart, FL 34997-7462 | 2019-10-22 |
| 1528616836 | Jocelyn Joy Durrant | Assistant Behavior Analyst | 7108 S Kanner Hwy, Stuart, FL 34997-7462 | 2019-08-29 |
| 1790346534 | Scott Alan Sowards | Assistant Behavior Analyst | 7108 S Kanner Hwy, Stuart, FL 34997-7462 | 2019-06-24 |
| 1366948739 | Cassandra Collins | Assistant Behavior Analyst | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2018-04-03 |
| 1861918773 | Holly Ann Brolmann | Assistant Behavior Analyst | 2400 Se Federal Hwy Ste 220, Stuart, FL 34994 | 2017-08-22 |
| 1598281529 | Vanessa Lopez | Assistant Behavior Analyst | 7108 S Kanner Hwy, Stuart, FL 34997-7462 | 2017-08-22 |
| 1871026385 | Connie Jean Gernatt | Assistant Behavior Analyst | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2017-04-11 |
| 1740713601 | Sean Cramer | Assistant Behavior Analyst | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2017-04-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.